Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.10 / $15.10 / $15.85	Facility	26	$15.10	$15.10	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $76.69 / $475.00	Professional		$49.81	$76.69	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.36 / $37.58 / $389.19	Professional	26	$12.36	$37.58	$389.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.54 / $15.00 / $22.16	Professional	26	$11.54	$15.00	$22.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $57.56 / $72.45	Professional		$17.43	$57.56	$72.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.64 / $18.64 / $18.64	Professional	26	$18.64	$18.64	$18.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $38.69 / $57.88	Professional		$12.57	$38.69	$57.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $83.92 / $149.19	Professional		$46.71	$83.92	$149.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.06 / $14.38 / $28.83	Professional	26	$9.06	$14.38	$28.83
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $9.46 / $9.46 / $15.10	Facility	26	$9.46	$9.46	$15.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $58.04 / $475.00	Professional		$51.13	$58.04	$475.00
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.46 / $15.60 / $210.00	Professional	26	$9.46	$15.60	$210.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $32.77 / $44.83	Professional		$26.31	$32.77	$44.83
United Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $64.56 / $100.59	Professional		$48.73	$64.56	$100.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $13.83 / $70.16	Professional	26	$11.40	$13.83	$70.16